山东体育学院体育科学研究院
本研究得到泰山学者工程(Tstp20250540)和四大慢病国家科技重大专项(2024ZD0531803)及体育健康产业高质量发展技术创新中心(JNSX2024051)的资助
1.Institute of Sports Science, Shandong Sport University;2.Shandong Sport University, 10600 Shiji Avenue, Licheng District, Jinan, Shandong Province, China
This work was supported by grants from the Taishan Scholars Project (Tstp20250540), the Noncommunicable Chronic Diseases-National Science and Technology Major Project (2024ZD0531803) ,and the Technology Innovation Center for High-Quality Development of Sports and Health Industry (JNSX2024051).
帕金森病(Parkinson’s disease,PD)是一种以黑质致密部多巴胺能神经元(dopaminergic neurons,DA neurons)进行性丧失和 α-突触核蛋白(α-synuclein,α-syn)异常聚集为特征的神经退行性疾病,其病理进程由神经炎症、铁稳态失衡与铁死亡(ferroptosis)、内质网应激(endoplasmic reticulum stress,ER stress)、线粒体功能障碍及氧化应激等多种机制相互耦联驱动。成纤维细胞生长因子(fibroblast growth factors,FGFs)家族由 22 个成员组成,在神经系统发育与稳态维持中发挥重要调控作用。现有研究表明,FGF信号失衡可通过同时调节神经炎症反应、铁稳态与抗氧化防御、内质网与线粒体应激等关键病理通路,削弱神经元对应激损伤的适应能力,促进多巴胺能神经元功能失衡与死亡。FGFs 的调控效应具有显著的细胞类型和病理阶段依赖性,其作用模式不同于单一神经营养因子,而呈现多靶点、多通路协同调控特征。近年来,FGFs 在 PD 中发挥多靶点神经保护作用逐渐受到关注,但相关证据分散于不同病理环节,尚缺乏系统性整合。本文系统梳理近年 FGF 家族成员在 PD 中调控铁稳态失衡与铁死亡、神经炎症、细胞应激以及神经保护与再生等方面的研究进展,解析其作用机制及相互联系,以期为阐明 FGFs 的多靶点调控网络及其在 PD 治疗中的转化应用提供理论参考。
Parkinson’s disease (PD) is a progressive neurodegenerative disorder characterized by the selective loss of dopaminergic neurons in the substantia nigra pars compacta and the pathological accumulation of α-synuclein. Although extensive progress has been made in elucidating its pathogenesis, current therapeutic approaches remain largely symptomatic, and effective disease-modifying treatments are still unavailable. Increasing evidence indicates that PD is driven by the interaction of multiple pathological processes, including neuroinflammation, iron homeostasis dysregulation and ferroptosis, endoplasmic reticulum (ER) stress, mitochondrial dysfunction, oxidative stress, and impaired protein homeostasis, which together contribute to neuronal vulnerability and degeneration. Fibroblast growth factors (FGFs) comprise a family of 22 ligands that play important roles in neural development, stress responses, metabolic regulation, and the maintenance of nervous system homeostasis. Recent studies have shown that several FGF family members, such as FGF1, FGF2, FGF9, and FGF21, exert neuroprotective effects in cellular and animal models of PD. These effects include the regulation of inflammatory responses, oxidative stress, iron homeostasis, cellular stress adaptation, and neuronal survival. Compared with therapeutic strategies targeting a single pathogenic pathway, FGFs appear to influence multiple disease-related processes, suggesting their potential relevance to the complex pathophysiology of PD. Experimental evidence indicates that altered FGF signaling may contribute to dopaminergic neuron dysfunction through the coordinated regulation of several interconnected mechanisms. FGFs have been reported to modulate neuroinflammation by affecting the activation of microglia and astrocytes, thereby influencing the inflammatory environment in the central nervous system. In addition, FGFs are involved in the regulation of iron homeostasis and ferroptosis, partly through antioxidant signaling pathways associated with NRF2, SLC7A11, and GPX4. Moreover, FGFs can alleviate ER stress and mitochondrial dysfunction by activating intracellular signaling pathways such as PI3K/AKT, AMPK-PGC-1α, as well as SIRT1-dependent programs, which support cellular energy metabolism and redox balance. Recent advances in single-cell and spatial transcriptomic studies further suggest that FGF signaling is not limited to neuron-intrinsic mechanisms but also involves interactions among different glial cell types. Altered FGF ligand-receptor communication between astrocytes and oligodendrocytes has been observed in PD models and is associated with increased susceptibility of dopaminergic neurons to oxidative stress and ferroptosis. These findings indicate that the biological effects of FGFs are influenced by cell type and disease stage and may vary under different pathological conditions. In this review, we summarize recent progress in understanding the roles of FGF family members in PD, with a focus on their involvement in iron homeostasis dysregulation and ferroptosis, neuroinflammation, cellular stress responses, and neuronal protection and regeneration. By integrating current evidence, this review aims to provide a clearer understanding of how FGFs participate in PD pathogenesis and to offer a theoretical basis for future studies exploring their potential value in disease-modifying therapeutic strategies.
王慧,周子贵,韩腾腾,杨常智,田雪文.成纤维细胞生长因子在帕金森病中的多靶点神经保护机制:神经炎症、细胞应激与铁死亡[J].生物化学与生物物理进展,,():
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